ME 2 EXAM 2 QUESTIONS AND VERIFIED ANSWERS
A. tachycardia and inconsolability. - Answers - Signs of pain in an infant would MOST
likely include:
A. tachycardia and inconsolability.
B. a heart rate that is not variable.
C. diaphoresis and dilated pupils.
D. labored tachypnea and pallor.
D. Acrocyanosis is cyanosis of the hands and feet, and is a normal finding in infants
younger than 2 months of age who are cold. - Answers - Which of the following
statements regarding acrocyanosis is correct?
A. Acrocyanosis is seen in the skin and mucous membranes and is a late finding if
respiratory failure or shock is present.
B. Acrocyanosis is only considered to be a normal finding in newborns and usually
resolves within 12 hours following birth.
C. Acrocyanosis is a bluish discoloration of the chest, abdomen, and face and is the
most extreme visual indicator of poor perfusion.
D. Acrocyanosis is cyanosis of the hands and feet, and is a normal finding in infants
younger than 2 months of age who are cold.
C. ensuring a patent airway. - Answers - The management for any potentially toxic
exposure in children begins by:
A. identifying the toxin.
B. providing an antidote.
C. ensuring a patent airway.
D. assessing respiratory effort.
A. is trying to align the axes of the airway to improve ventilation. - Answers - A
conscious child who is in the sniffing position:
A. is trying to align the axes of the airway to improve ventilation.
B. is clearly experiencing an obstruction of the lower airway.
C. will refuse to lie down and leans forward on outstretched arms.
D. assumes a physical position that optimizes accessory muscle use.
B. begin chest compressions if the heart rate remains below 60 beats/min after 30
seconds of effective positive pressure ventilation. - Answers - After performing the initial
steps of resuscitation, you assess a newborn and note that its respirations are poor and
its pulse rate is 50 beats/min. You should:
A. immediately begin positive pressure ventilations and chest compressions and then
reassess the newborn's pulse rate in 30 seconds.
B. begin chest compressions if the heart rate remains below 60 beats/min after 30
seconds of effective positive pressure ventilation.
,C. begin chest compressions, insert an endotracheal tube, and administer 0.1 to 0.3
mL/kg of epinephrine 1:10,000 down the endotracheal tube.
D. perform tactile stimulation for 30 seconds, reassess the infant's respirations and
pulse rate, and begin positive pressure ventilations if there is no improvement.
B. epinephrine. - Answers - Treatment for pediatric asystole includes:
A. atropine.
B. epinephrine.
C. cardiac pacing.
D. hyperventilation.
D. delivering each breath over 1 second until the chest rises visibly. - Answers -
Appropriate bag-mask ventilation for an apneic 3-year-old child involves:
A. ensuring a consistently delivered tidal volume of 400 mL.
B. providing hyperventilation to ensure carbon dioxide elimination.
C. hyperextending the head to ensure an adequate mask-to-face seal.
D. delivering each breath over 1 second until the chest rises visibly.
A. epinephrine IM. - Answers - Immediate treatment for a conscious child with
anaphylaxis includes:
A. epinephrine IM.
B. diphenhydramine SQ.
C. a dopamine infusion.
D. normal saline boluses.
B. administer positive pressure ventilations. - Answers - During your rapid assessment
of a newborn's cardiopulmonary status, you note that its respiration are adequate, you
feel 8 pulsations in a 6-second time frame, and the newborn is centrally pink but
peripherally cyanotic. The MOST appropriate next action should be to:
A. provide 30 seconds of tactile stimulation.
B. administer positive pressure ventilations.
C. assess the newborn's blood glucose level.
D. give free-flow oxygen by mask at 5 L/min.
C. Ventilatory support - Answers - Which of the following is the first-line treatment for a
hemodynamically unstable child with bradycardia?
A. Epinephrine IV or IO
B. Chest compressions
C. Ventilatory support
D. Transcutaneous pacing
A. No. 1, straight - Answers - What size and type of laryngoscope blade is
recommended for use in a full-term newborn?
A. No. 1, straight
B. No. 2, straight
C. No. 1, curved
, D. No. 2, curved
B. C5 and C6 - Answers - Erb palsy involves injury to what part of the spinal cord?
A. C1 and C2
B. C5 and C6
C. C8 to T1
D. T2 to T6
B. P wave presence - Answers - Which of the following components is used to
distinguish sinus tachycardia from supraventricular tachycardia?
A. ST segment
B. P wave presence
C. Systolic blood pressure
D. QRS complex width
B. surfactant deficiency. - Answers - Respiratory distress in a premature infant is MOST
often the result of:
A. a pneumothorax.
B. surfactant deficiency.
C. pneumonia at birth.
D. intracranial hemorrhage.
100.4 - Answers - Fever in infants younger than 2 months of age is defined as a body
temperature that is ______'F or greater.
A. 99.2
B. 100.4
C. 101.2
D. 102.0
B. makes it easier to manipulate the epiglottis. - Answers - The use of a straight blade
during pediatric intubation:
A. is generally reserved for neonates only.
B. makes it easier to manipulate the epiglottis.
C. is associated with a higher risk of bradycardia.
D. facilitates laryngoscopy by lifting the vallecula.
C. open her airway with the jaw-thrust maneuver, suction her mouth and nose, insert an
oral airway, and assist her ventilations with a bag-mask device. - Answers - A 2-year-old
girl fell approximately 12 feet from a second-story window, landing on her head. Your
primary survey reveals that she is unresponsive; has slow, irregular respirations; and
has blood draining from her mouth and nose. A rapid exam of her body does not reveal
any gross injuries or bleeding. You should:
A. manually stabilize her head and neck in a neutral position, insert a nasal airway, and
hyperventilate her at a rate of 35 breaths/min.
B. suction her mouth and nose for no longer than 15 seconds, insert an oral airway, and
apply high-flow oxygen with a pediatric nonrebreathing mask.
A. tachycardia and inconsolability. - Answers - Signs of pain in an infant would MOST
likely include:
A. tachycardia and inconsolability.
B. a heart rate that is not variable.
C. diaphoresis and dilated pupils.
D. labored tachypnea and pallor.
D. Acrocyanosis is cyanosis of the hands and feet, and is a normal finding in infants
younger than 2 months of age who are cold. - Answers - Which of the following
statements regarding acrocyanosis is correct?
A. Acrocyanosis is seen in the skin and mucous membranes and is a late finding if
respiratory failure or shock is present.
B. Acrocyanosis is only considered to be a normal finding in newborns and usually
resolves within 12 hours following birth.
C. Acrocyanosis is a bluish discoloration of the chest, abdomen, and face and is the
most extreme visual indicator of poor perfusion.
D. Acrocyanosis is cyanosis of the hands and feet, and is a normal finding in infants
younger than 2 months of age who are cold.
C. ensuring a patent airway. - Answers - The management for any potentially toxic
exposure in children begins by:
A. identifying the toxin.
B. providing an antidote.
C. ensuring a patent airway.
D. assessing respiratory effort.
A. is trying to align the axes of the airway to improve ventilation. - Answers - A
conscious child who is in the sniffing position:
A. is trying to align the axes of the airway to improve ventilation.
B. is clearly experiencing an obstruction of the lower airway.
C. will refuse to lie down and leans forward on outstretched arms.
D. assumes a physical position that optimizes accessory muscle use.
B. begin chest compressions if the heart rate remains below 60 beats/min after 30
seconds of effective positive pressure ventilation. - Answers - After performing the initial
steps of resuscitation, you assess a newborn and note that its respirations are poor and
its pulse rate is 50 beats/min. You should:
A. immediately begin positive pressure ventilations and chest compressions and then
reassess the newborn's pulse rate in 30 seconds.
B. begin chest compressions if the heart rate remains below 60 beats/min after 30
seconds of effective positive pressure ventilation.
,C. begin chest compressions, insert an endotracheal tube, and administer 0.1 to 0.3
mL/kg of epinephrine 1:10,000 down the endotracheal tube.
D. perform tactile stimulation for 30 seconds, reassess the infant's respirations and
pulse rate, and begin positive pressure ventilations if there is no improvement.
B. epinephrine. - Answers - Treatment for pediatric asystole includes:
A. atropine.
B. epinephrine.
C. cardiac pacing.
D. hyperventilation.
D. delivering each breath over 1 second until the chest rises visibly. - Answers -
Appropriate bag-mask ventilation for an apneic 3-year-old child involves:
A. ensuring a consistently delivered tidal volume of 400 mL.
B. providing hyperventilation to ensure carbon dioxide elimination.
C. hyperextending the head to ensure an adequate mask-to-face seal.
D. delivering each breath over 1 second until the chest rises visibly.
A. epinephrine IM. - Answers - Immediate treatment for a conscious child with
anaphylaxis includes:
A. epinephrine IM.
B. diphenhydramine SQ.
C. a dopamine infusion.
D. normal saline boluses.
B. administer positive pressure ventilations. - Answers - During your rapid assessment
of a newborn's cardiopulmonary status, you note that its respiration are adequate, you
feel 8 pulsations in a 6-second time frame, and the newborn is centrally pink but
peripherally cyanotic. The MOST appropriate next action should be to:
A. provide 30 seconds of tactile stimulation.
B. administer positive pressure ventilations.
C. assess the newborn's blood glucose level.
D. give free-flow oxygen by mask at 5 L/min.
C. Ventilatory support - Answers - Which of the following is the first-line treatment for a
hemodynamically unstable child with bradycardia?
A. Epinephrine IV or IO
B. Chest compressions
C. Ventilatory support
D. Transcutaneous pacing
A. No. 1, straight - Answers - What size and type of laryngoscope blade is
recommended for use in a full-term newborn?
A. No. 1, straight
B. No. 2, straight
C. No. 1, curved
, D. No. 2, curved
B. C5 and C6 - Answers - Erb palsy involves injury to what part of the spinal cord?
A. C1 and C2
B. C5 and C6
C. C8 to T1
D. T2 to T6
B. P wave presence - Answers - Which of the following components is used to
distinguish sinus tachycardia from supraventricular tachycardia?
A. ST segment
B. P wave presence
C. Systolic blood pressure
D. QRS complex width
B. surfactant deficiency. - Answers - Respiratory distress in a premature infant is MOST
often the result of:
A. a pneumothorax.
B. surfactant deficiency.
C. pneumonia at birth.
D. intracranial hemorrhage.
100.4 - Answers - Fever in infants younger than 2 months of age is defined as a body
temperature that is ______'F or greater.
A. 99.2
B. 100.4
C. 101.2
D. 102.0
B. makes it easier to manipulate the epiglottis. - Answers - The use of a straight blade
during pediatric intubation:
A. is generally reserved for neonates only.
B. makes it easier to manipulate the epiglottis.
C. is associated with a higher risk of bradycardia.
D. facilitates laryngoscopy by lifting the vallecula.
C. open her airway with the jaw-thrust maneuver, suction her mouth and nose, insert an
oral airway, and assist her ventilations with a bag-mask device. - Answers - A 2-year-old
girl fell approximately 12 feet from a second-story window, landing on her head. Your
primary survey reveals that she is unresponsive; has slow, irregular respirations; and
has blood draining from her mouth and nose. A rapid exam of her body does not reveal
any gross injuries or bleeding. You should:
A. manually stabilize her head and neck in a neutral position, insert a nasal airway, and
hyperventilate her at a rate of 35 breaths/min.
B. suction her mouth and nose for no longer than 15 seconds, insert an oral airway, and
apply high-flow oxygen with a pediatric nonrebreathing mask.
